Active NPI
Paul E Tesone DDS
Doing business as Middlesex Oral Surgery Services
- Oral & Maxillofacial Surgery (D.M.D.)
- Malden, MA
National Provider Identifier
1780875336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- 11620
- Legal business name
- PAUL E TESONE DDS
- Doing business as
- Middlesex Oral Surgery Services
- Practice address
- One Centre Street
Malden, MA 02148 - Phone
- (781) 321-4700
- Fax
- (781) 321-4700
- NPI assigned
- Aug 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Paul E Tesone, DDS
- Title
- Owner
- Phone
- (781) 321-4700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 11620 | MA | Primary |
Addresses
Primary practice location
One Centre Street
Malden, MA 02148
Mailing address
One Centre Street
Malden, MA 02148
Phone (781) 321-4700
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| X11109 | Other | MA | BCBS |
| 0280011 | Medicaid | MA | |
| V04804 | Other | MA | BCBS |
Other names 1
- Middlesex Oral Surgery Services
National Provider Directory
National Provider DirectoryLocations
1 Centre St
Malden, MA 02148
Phone (781) 321-4700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1186531200000",
"number": "1780875336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE CENTRE STREET",
"city": "MALDEN",
"state": "MA",
"postal_code": "02148",
"telephone_number": "781-321-4700",
"fax_number": "781-321-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE CENTRE STREET",
"city": "MALDEN",
"state": "MA",
"postal_code": "02148",
"telephone_number": "781-321-4700",
"fax_number": "781-321-4700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAUL E TESONE DDS",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-08",
"last_updated": "2007-08-08",
"status": "A",
"authorized_official_last_name": "TESONE",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "781-321-4700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "204E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Oral & Maxillofacial Surgery",
"state": "MA",
"license": "11620",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "X11109",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0280011",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "V04804",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Middlesex Oral Surgery Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Malden, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.